Medical Biller - CHS (Prescott)

Yavapai County Government•Prescott, AZ

About The Position

Yavapai County Community Health Services is seeking a detail-oriented Medical Biller. The ideal candidate has experience with electronic health records (EHR), particularly NextGen, Federally Qualified Health Centers (FQHC), and collections. The role is responsible for timely billing and payment processing, claim submission and follow-up, resolving billing issues, and supporting clinic cash flow. The position also performs other job-related duties as assigned.

Requirements

High school diploma or equivalent.
At least three years of healthcare billing experience.
Valid Arizona driver’s license.
Current fingerprint clearance card issued by the Arizona Department of Public Safety.

Nice To Haves

Experience with electronic health records (EHR), particularly NextGen.
Experience in Federally Qualified Health Centers (FQHC).
Collections experience.

Responsibilities

Enter and adjust patient and billing information in time to meet month-end processing, billing deadlines, and statement cycles.
Research charge issues and contact insurance companies to determine how claims should be processed.
Answer incoming calls and assist patients and insurance companies with inquiries.
Post payer payments promptly in the Practice Management System.
Resolve unpaid and underpaid insurance billings.
Issue refunds for medical-service overpayments as needed.
Research, correct, and refile rejected claims to obtain payment.
Produce, batch, and submit electronic claims to appropriate payers.
Produce, batch, and mail paper claims to appropriate payers.
Monitor the Accounts Receivable Aging Report and follow up with payers on outstanding claims.
Resolve payer payment and billing issues.
Stay current on technical issues that could affect complete and timely claim payments or adversely affect clinic cash flow.
Contribute to efforts to expand the funding base and maximize billings.
Perform other job-related duties as assigned.